Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitchell Scott Fadley, DO

Individual provider Family Medicine Physician · NPI 1760056980

Mitchell Scott Fadley, DO is a Family Practice in Punta Gorda, Florida. Qualified in 2021, 5 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

42880 Crescent Loop Ste 110
Punta Gorda, FL 33982-5062
Phone: (239) 343-3535
Fax: (239) 343-4065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 895 Union St Ste 12, Bangor, ME 04401-3054 — (207) 973-7973

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS21168 (FL)

Record details

NPI number1760056980
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing addressPo Box 2147, Fort Myers, FL 33902-2147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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